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HomeMy WebLinkAboutPERMIT, DESIGN, & APPLICATION - 05-00045 - Farmers Insurance - SignCffY OF ~.ExBU~ AMERICAS FAMILY COMMUMTY SIGN PERMIT City of Rexburg Department of Community Development 19 E. Main St. / Rexburg, ID. 83440 Phone (208) 359-3020 /Fax (208) 359-3022 Project Information Permit # OS 00045 Permit Type Sign Permit Project Name Farmers Ins Sign Site Address 12 W MAIN ST Parcel # 1tP1tRXB 10324331 Project Description Farmers Ins Sign Names Associated with this Project Type Name Contact Phone # License # Exp Date Applicant A & K Sign Co. 208-524-4458 Fee Information Project Valuation Sign Permit 25.00 Refund for a Sign Deposit -75.00 Sign Deposit 75.00 Total Fees Paid $25.00 Conditions 1. Height can be no greater than 24' *** SEE ATTACHED CONDITIONS *** Print Name Date Issued: Signature Date Issues By: Uate of Application i STATE OF ~ AHO APPLIGA'I`IO~v ~'OR SIGN P FLIED SIGNAGE 2 z t -~ s_-- -- sip Pernit No. s-~ CITY OF REXBLRG P.O. Bax 284 Rexb~,irg, Idaho 83 ~0 (248) 359-342G ~,~~,II~ Pax (248) 3~9-342 Owner Narne ~ ~--~.- ~~-f ~ rte---~ ~-~ ' i~~~~_.,, i _...__ Site Address: ^__I_Z_ir'`', V~'t0.~ _^-~ ~~-~ ~. Z __~~_~ Mailing Address: ~_._1 ._-_f.-.------..__~_-._ City/State/Lip: ~ b ~ ~- L~ __._----- -~--- - Telephone Mobilz: Contractor's Name: -__.___~~ S = ~ ~o C~ontraetor's Address: ____ 2-2 ~__ ~o •-~,___~~_,__~ Corztractar's Telephc~zze: ZD~' S Z y ~{ ~-l~~ Mobile: Sign area sq. ft ~~_~l~?~-y_____1~~~~~~rgn Height (from ground} ` i Sig~7 Descriptions: __-3 x_~~__-°! I" ``` =-----------2 ~c (o ~ ~ ~ ~-. _- Far a Sign Permit it is~mandatory that you have *~he follawi.ng information: 2 sets of elevation drawings of si~;~. ;_'~ r~lans i aanlicabl~ Drawn to a scale w'~th diiuensions And complete construction materials Footings if applicable Engineer starriped if required FREE STAl~TDING SIGN WALL SIGNS G PLOT PLAN TO SCALE SHO~'1l:NG G A) SQ. FOOTAGE OF 'VF'ALL (s1GNON) D Aj BU7LDIIvCi LOCATION Q B) EXISTING SIGNS & AREA ^ B) I,OT SIZE G C) NSW SIGN & AREA C] C) NEVJ SIG? LOCA"T"ION G D) LUCATIOI~T OF SIGN ON WALL C~ D) DTMEN SAONS TO SIGN FROM PROPERTY' LINES G E) IS SIGN LIGHTED? YES (must meet state eIectrrcai . odei Cl E) PARKING LOT ENTRA~'`1CES {sign must b¢ b7 legal zone for lighting and rypej CJ Fj DISTANCE OF' SIGN FRO''<vI RIGHT OP' OJAY 0 G) EXISTING SIGNS LOCATION & AKEA C7 H) IS SIGN LIGHTED? YT:S (must meet state electrical code] !siacn must be in legal zone for lighting and type) Fee: ~I00.00 - $75.00 refundable at time of final inspection and photo of completed si;n. Signat~.~re of Applicant. Nose: Thu document is fc~r apt;lication purposes only (the Legal sign permit form must be signed by city o,~tcia/s before sign is approvadJ ., ~_ ~ 3} rt STATE OF IDAHO OFFICIAL SIGl'~ PERMIT' APPROVAL FORM FIXED SIGl'eTAGE CITY OF REXBURG P.O. Box 280 Rexburg, Idaho 83440 (208) 359-3020 Fax (208) 359-3022 DATE: -p _ OWNER NAME: TIME: - SIGN PERMIT# S- O,S-p ~' SITE ADDRESS ~ _ CITY/STATEIZI P: TELEPHONE MOBILE CONTRACTOR'S NAME CONTRACTOR'S ADDRESS TELEPHONE MOBILE SIGN APPROVAL PROCESS COMPLETE OR PROBLEM AREAS SIGN REVIEW TO MEET Initials APPROVED CURRENT SIGN CODE refer to notes for reason('s) for denial DENIED ENGINEER REVIEW TO MEET Initials APPROVED ~ CURRENT CITY BLDG CODE refer to notes for reason('s) for denial DENIED PLANNING AND ZONING ADMINISTRATOR Initials APPROVED OR PLANNING & ZONING REVIEW refer to notes for reason('s) for denial DENIED CONDITIOIVAL USE PERMIT YES if yes are all conditions met? APPROVED OR 1~,4 REQUIRED NO refer to meeting notes attached DENIED red marks indicate areas needing correction before sign can be approved number marks notes : ~ ~ G - ~~ ~"/ '~O~ ~~3. C r Si nature Of Approval By Cit signature to be signed by planning & zoning administrator /~ or the city clerk after 4 categories approved `~ ~-- - a~ p W vJ ~~ o ~ t ~ '~ s F ..- ~ Z ~~ c .~ 0 k ~ ~ ®f ~ ~ ~ ~~ .~ ~,, N ~ ~ ~ c ~ ~'~ w N ~ C~ w G ., 1 ` wk W A~ t